袖带放置位置对肱动脉血压值的影响  

Effect of different position of cuff on the value of vascular blood pressure

作　　者：向虹静 吴小兰[1] 

机构地区：[1]四川省达州市中心医院护理部,635000

出　　处：《中华现代护理杂志》2010年第29期3498-3500,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨测量血压时，袖带放置位置对肱动脉血压值的影响。方法对207例住院患者进行血压观察，同一患者分别依次采用：袖带下缘距肘窝2～3cm（标准测量法），下缘位于肘窝部（实验测量法1），下缘位于肘窝下1cm（实验测量法2），下缘位于肘窝下2cm（实验测量法3）4种方法测量血压，对标准测量法和另外3种测量方法所测得的收缩压和舒张压进行统计学处理并进行比较。结果实验测量法1所测得的血压值与标准测量法比较差异无统计学意义（P〉0．05）；实验测量法2和3两种方法所测得的血压值与标准测量法比较差异有统计学意义（P〈0．05）。结论袖带下缘位于肘窝部进行测量，所测得的血压值与标准测量方法比较影响不大，临床可采用，但袖带放置位置过低，测得的血压值将会下降。Objective To investigate the influence of the cuff placement to the blood pressure measurement. Methods To measure 207 hospitalized case＇ s blood pressure with four methods： the cuff＇ s lower edge is 2 -3 cm from the cubit＇al fossa＇ s upper edge （standard measurement） , the cuff＇ s lower edge is near the cubital fossa （measurement 1 ） , the cuff＇ s lower edge is 1 em from the cubita] fossa＇ s lower edge （ measurement 2） , the cuff＇ s lower edge is 2 em from the cubital fossa＇ s lower edge （ measurement 3 ）. Then to compare the difference of the systolic and diastolic blood pressure values of four groups. Results The difference between the blood pressure values of standard measurement and measurement 1 was no significant （P 〉 0. 05）. The difference between the blood pressure values of standard measurement and measurement 2 or 3 was highly significant （P 〈 0. 05 ）. Conclusions The blood pressure values of standard measurement and measurement 1 were nearly same, so we could measure blood pressure with measurement 1 in clinic. But the cuff placement can not be too low, otherwise, the measured blood pressure values would be significantly decreased.

关 键 词：袖带位置 血压 测量 

分 类 号：R472[医药卫生—护理学]